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Re: WellMed Referrals, Utilization Management and Claims ...

11/01/2014 Re: WellMed Referrals, Utilization Management and Claims Payment for Preferred Care Partners Medicare Advantage Members in Central Florida Effective Jan. 1, 2015 Dear Provider: Starting Jan. 1, 2015, WellMed Medical Management , Inc. ( WellMed ) will handle referrals, Utilization Management and Claims payment for Preferred Care Partners Medicare Advantage members enrolled in the Preferred Secure Option product available in the Central Florida counties as follows: Hernando, Hillsborough, Manatee, Orange, Osceola, Pasco, Pinellas, Polk, Seminole, and Volusia. Please review the following instructions for Preferred Secure Option members in Central Florida (H1045-023) for dates of service on or after Jan.

The enclosed Quick Reference Guide provides more details about this change. In addition, we have included a copy of the prior authorization list and specialty protocol listing for referrals as well.

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  Guide, Management, Reference, Referral, Quick, Utilization, Quick reference guide, Utilization management, Wellmed referrals, Wellmed

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